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General NPI Number Information
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NPI Number | 1558507350
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Entity Type | Individual
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Provider Name | LAURIE B HARVEY RNFA, CNDR, RN
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Gender | Female
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Dates
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Enumeration Date | 12/29/2008
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Last Update Date | 12/29/2008
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Provider Practice Location Address
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Address Line | 408 JACKSON AVE E
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City | HAMPTON
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State | SC
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Zip | 29924
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Country | US
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Telephone | 803-943-4003
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Fax | 803-943-4701
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Provider Business Mailing Address
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Address Line | PO BOX 1289
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City | VARNVILLE
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State | SC
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Zip | 29944
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Country | US
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Telephone | 803-943-4003
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Fax | 803-943-4701
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 53770
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License Number State | SC
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